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234879 07/16/14
CITY OF CARMEL, INDIANA VENDOR: 051125 °l ONE CIVIC SQUARE ICE MOUNTAIN SPRING WATER CHECK AMOUNT: $*******512.76* CARMEL, INDIANA 46032 PROCESSING CENTER CHECK NUMBER: 234879 M,iTON�b• PO BOX 856680 CHECK DATE: 07/16/14 LOUISVILLE KY 40285-6680 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1091 4350900 306.40 04FO1212027GG 1125 4350900 77.78 04FO120095351 1205 4239099 3.99 04F0121776199 1801 4350900 32.47 04FO121975593 2200 4239099 17.95 04FO120048525 2201 4238900 74.17 14FO117821082 Nservice.icemountainwater.com Mal'a' ®EMEEM@ ' #215 6661 DIXIE HWY,SUITE 4 LOUISVILLE KY 40258 06/01/14-06/30/14 04F0120048525 ADDRESS SERVICE REQUESTED ►d ® B e e II I I II I I'I I I I'I'I'I I I I I I I I I II I I II' TUE- JUL 08 0120048525 WED- AUG 06 FRI- SEP .05 MON- OCT 06 CITY OF CARMEL DEPT OF ENGINEERING Customer Service: 1-800-472-9888 LISA SCOTT OR JUDY STOHLER Did you forget about us? Kindly pay-upon receipt. 1 CIVIC SQ Remember,past due accounts are subject to a late fee. CARMEL IN 46032-2584 Your prompt payment is appreciated. For your I'1'11�'IIII�'�1"�II�I1�'�'1111111111'��"II'�'lllll�'lllll'��II convenience,pay online:service.icemountainwater.com. If payment has been made,we thank you. s n4 6 YY Try�theGreatNEW tasfeofNESTEANQW�Save$3 off a 12 pack of12 oz cans,for a promotedprlceof$3 99 a - ANb$3,off�a 12 ack of Ne`steda 1l2 lite-Wdit'1`6s fora promote' rtce-61,$5.991%e 1-800-4729888 ar utstt� servlce:cemoun ainwater:comgoaadd Maur order► �¢n` p r ---- a r� ti gg r ACCOUNT ACTIVITY For questions or a report on water quality and information,call 1-800-472-9888 or visit service.icemountainwater.com. iliggi. i 11c'111 118 Delivery address: CITY OF CARMEL,1 CIVIC SQ, CITY ENGINEERING DEPT,CARMEL IN 46032 PREVIOUS BALANCE 24.93 6/09 0886262294 4 5 GAL ICE MOUNTAIN DIRK W/HANDLE 13.96 4 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT .00 4 5 GALLON ICE MOUNTAIN-DEPOSIT-RETURN -- - .00 6/30 F6689588 RENT78 3.99 3456 TOTAL /�?' 9�®, 42.88 12ECIIV �� JUL 2014 00 CARIWj5L ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 24.93 — 0.00 + 17.95 = 42.88 BILLING RIGHTS SUMMARY I IN CASE OF ERRORS OR QUESTIONS ABOUT YOUR BILL,OR FOR YOUR INVOICE-4 WAYS TO HELP US SERVE YOij BE A REPORT ON WATER QUALITY AND WORMATION,PLEASE 1, Please remember payment is due by the"pay by"date noted to ensure TTERot. service. CALL 1-800-472-9888 OR WRITE US AT: 2. Remember,if you are rentinga Ui men ICE MOUNTAIN SPRING RATER CO. your first invoice will include a ero-rated f e for our equipment current month,plvSethO next month's advance.That means #216 6661 DIXIE HWY.,SUITE 4 3. Kindly fill in the amount enclosed, include your account number on your check, ental. LOUISVILLE,KY 40258 If you prefer,you can pay your bill online at service.icemountainwater.com and do not send cash. IfY ou think your bill is wrong,of ifyou need more information about 4- Never hesitate to call us with comments,questions,or concerns. a transaction on your bill,write us on a separate sheet of paper.We must hear from you in writing no later than thirty(30)days after we sem you the first bill on which the error or problem a qM P an telephone us,but doing so will not preserve your rights In your letter, SN give us the following information: LE INVOICE • Your name,address,telephone and account numbers. • The dollar amount of the suspected error. Date range of this invoice • Describe the error and explain if you can,why you believe there is an error. You are obligated to pay the parts of your bill that are not in question, You do not have to pay the disputed amount while it is being investigated.Darin raevai3ta. �. , g g the investigation,we cannot report your account as delinquent or take any action to collect the amount inquestion � 00/00/00-00100/00 7234567890 =a,1 Your Account Number , " GENERAL INFORMATION 11�R-OR°4 12345678 y 1.Payments received after the billingM011 OCr 29 (INVOICE)date will appear on Important "AD NO"21 ' Watch here for a Your next invoice.Past due invoices(not paid within 30 y nE-OEnR billing date)may be assessed a late fee as allowed da s of news and `1611:n1116l1tUe�yilihl mt aQtl„tr,'dh1i 111QfS mm1 472-9880 . personalized account exceed$20permonth.Additionally,third by law not tto/ o offers t°hAO m„d,YO„�„�y,aM°°° P'4d°m message --`-=ezpenses=may-be assessed-at a ratc-uIct� ceede 100 0 of the Stt, o/attarney >nere^d unpaid balance or the maximum allowed by law. — i n u to awa.n t A l.htt a n 2.Each returned check is subject to a service charge subject to the maximum check return ch o«n + t •e ~ arge allowable in your State. '^' YaY�T '04 I Pay electronically 3.Al] bottle and """".k-�-� • equipment deposits are shown as C '�' 'd°`� ' `�h ACTIVITY. CUR Activity 4. Equipment replacement costsll be chsince your °••��> '�°""°°"" Make sure this stolen,damaged or not returned. arged for bottles lost AccouNrACnvm > last invoice amount has been S.In accordance with N WNA's Terms and Conditions Oer ryA6dress mh°�.123Mamsu<e1,Oly,sace 00000 Equipment Lease and/or Service Agreement acco, mayyour be i paid in full to �" ""'"`Y°° °" avoid late fees subject to minimum month[ Ofl31 46,e9s ceoc Y Purchases and/or earl s i��w"m��sSiornso� *. fees. (A complete version of the current T&C may be viewed ontthe n, anees,aa44 s Z- 71 " �nl 3198854449 5 Im MwnGin9G IReN website listed below)Upon service discontinuation,rent for the 091� 38�63�" was°rew9e r l ti �" Hr of 1 r Monthly Oil Leased Equipment is charged ed 49n2 1�4oa9> � � Surcharge,Fuel arg through the end of the billing cycle } (kE/ mL: a in which service is discontinued. 1O'"E a Surcharge.or Delivery 6.You will be charged a monthly Oil Surcharge,Fuel Surcharge or . Fee(see#6 under Delivery Fee as described in your T&C. Onlywill one of these fees Payment stub —°PYMN°0 A""+a8"n -EAT j "General AMWM 1 The fee that applies ACCOUNT SUMMARY z n b n nex4 is stated on the frontPp tes to your account ofthemvoice.Forfurtherinformation °°„°'"•""'"-""'"`--"``"""`��°"`�-"— �""`°`°�'""'�__ 1 Information") ---------------------- visit the website listed below or Please - rnxrxlsaEAouNr -..� ----0e1ad1�'6��R0vn '� �•' ACCOUNTNUo moo center. contact our customer service u3466ra91 as�m e As a food product, bottled water is subject to the rules and NV12mm7OICE MBER BIW/00100 7. ENCEOSEO lzuss9s99 9a1G11oo ° regulations pr(FDA).fed by the Federal Food and Drug AdmmlStmLlnR(FDA). 0420096397 14282712619 0110391049 2004 la 8.Your first invoice indicates the products delivered on your first Amount due delivery,alon ICE MOUNTAIN WATER COMPANY I°h^O°e g with any applicable bottle and account deposits, a4�Ew. ..� 123 M�^51 redemption fees,and anCi S.. OOM will reflect charges for water tdel delivered and dispenser ren tal,bottle Submit your I,aaa JAR n ba;l utsua tp E RasroMERSEmaaw+,aaw>2-9808 Payment by this deposits and credits plus charges for any additional products ❑ � ordered b ❑vTa4wEaaTa¢auco9An99"upwvwreaa,xm,Ksee date Y You,Deliveries are made every three or four weeks,for LL a total of 16-17 deliveries per year.You will only receive invoices -_. — w rimes per year,so approximately 5 of those invoices will reflect two deliveries. ©2008 Ice Mountain Spring Water Company,a Division of Nestle Waters North America Inc. service.icemountainwater.com _ Form No.NW 709 08/12 Prescribed by State Board of Accounts City Form No.201(Rev.1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Ice Mountain Purchase Order No. POB 856680 Terms Louisville, KY 40285-6680 Date Due Invoice Invoice Description Date Number (or note attached invoice(s)or bill(s) Amount 7/2/2014 04F0120048525 water cooler $ 42.88 Total $ 42.88 I hereby certify that the attached invoice(s), or bill(s), is (are)true and correct and I have audited same in accordance with IC 5-11-10-1.6. ,20 Clerk-Treasurer VOUCHER NO WARRANT NO. Ice Mountain ALLOWED 20 POB 856680 IN SUM OF$ Louisville, KY 40285-6680 $ (10 42. ON ACCOUNT OF APPROPRIATION FOR Board Members Po#or INVOICE NO. ACCT#/TITLE AMOUNT DEPT# I hereby certify that the attached invoice(s), or 0 04F01200485 2200-4239099 $ 4eT— bill(s) is (are) true and correct and that the 5 materials or services itemized thereon for which charge is made were ordered and received except 7/11/2014 Signat ru e City Engineer Cost Distribution ledger classification if Title claim paid motor vehicle highway fund service.icemountainwater.com #215 6661 DIXIE HWY,SUITE 4 06/01/14-06/30/14 04FO121202766 LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED b WED- JUL 23 0121202766 ll l l II Il I I I'll I I I ll l I i l l l l l II II III . 1� °�a 7 HU- AUG 21 MON- SEP 22 JUL — 7 2014 MON= OCT 20 CITY OF CARMEL PARKS DEPARTMENT BY: Customer Service: 1-800-472-9888 MANDY SPADY Did you forget about us? Kindly pay upon receipt. 1411 E 116TH ST Remember,past-due accounts are subject to a late fee. CARMEL IN 46032-3455 Your prompt payment is appreciated. For your I'I'��'IIIA'I'II��II'IIID"II'I�IIIIII"'lll'lllll'I�I�I"I�I��� convenience,pay online:service.icemountainwater.com. If payment has been made,we thank you. d-g 311, a .{,o,,J .G .,"rr rtei-" ,, r, r ,. ,¢eGreat NEI►tasfe of t� STA-NOMI�+,�'Sade$3 ofF 12 pack a# oz cans fora promoterlce of$3 99 �:shU ,..,t a,r,J,Zi .' ,✓,� � ` rf?"r r,Y'✓" a r"� , ac r a r✓r-vrt ,.. A+I ,$3 off a 12 pack of Nest a'1! Inter bo1�+'s,#ar a +emoted prtcof$5 99+ X111 800-479888 or rrtslt� Y Jz a s'e, r r as e ,�✓: Z�L;-wry j° m� �4 _ serce��cetxr t+�r tccdato vur rdet! r � ---- -�.r�.rlra.a�"':' - "y -� l "✓�,,i=� �` ,✓ r-ln, � rr *�,�Ya' -<s,�;r ,-P. t E ��t, ,s'F-;. m4g;° ,�.i '` > � � a dee�� w? ,( p x, "�r'.�{ I ,.z''' �✓ lM' a ' �,Y ° `' �{r Az€ a ✓�""u rr�,"w ✓s,. ✓ ',✓s` ? rr,. �'a✓-✓�f, fir' ."r, `^"✓65, rJ`�u,✓' `�„ 'l.. `,.d"✓;- f>s �"=�`s�✓"E ACCOUNT ACTIVITY For questions or a report on water quality and information,call 1-800.472-9888 or visit service.icemountainwater.com. Delivery address: CITY OF CARMEL PARKS DEPT/MONON CENTER,1235 CENTRAL PARK DR EAST,CARMEL IN 46032 PREVIOUS BALANCE 40.05 6/18 0889454716 10 5 GAL ICE MOUNTAIN DIRK W/HANDLE 42.90 BOTTLE DEPOSIT: 10 CHARGED,10 CREDITED .00 6/26 0889050100 15 5 GAL ICE MOUNTAIN'DRK'W/HANDLE 64.35 5 SAVINGS PLAN ACCOUNT DEPOS,fT - 100.00 BOTTLE DEPOSIT',15 CHARGED,_,,_O. . 90.00 6/30 0891153694 1 OIL/FUEL SURCHARGE'; +` 3.16 F6789327 RENT5.99 TOTAL 346.45 W AItA t%MCG w a ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 40.05 — 0.00 + 306.40 = 346.45 BILLING RIGHTS SUMMARY IN CASE OF ERRORS OR QUESTIONS ABOUTyOUR BILL,OR FOR YOUR INVOICE-4 WAYS TO A REPORT ON WATER UALITY 1. Please remember payment is due by the payPbyJ da Enoted YoOU BE ensurehe TmERhest service. CALL 1-800-472-9888 OR Q �FORMATION,PLEASE ` WRITE Us AT: 2. Remember,if you are renting equipment,your equipment rental is charged one month in advance.That me ICE MOUNTAIN SPRING WATER CO. Your first invoice will include a pro-rated fee for the current month,plus the next month's rental. #216 I Kindly fill in the amount enclosed, include your account number on your check, and do not send ahs 666I DIXIE HWY.,SUITE 4 LOUISVILLE,KY 40258 If you prefer,you can pay your bill online at service.icemountainwater.com 4. Never hesitate to call us with corn cash. If you think your bill is wrong,or ifyou need more information about meets,questions,or concerns. a transaction on your bill,write us on a separate sheet of paper.We must hear from you in writing no later than thirty(30)days after we sent you the first bill on which the error or problem appeal c telephone us,but doing will nred,you can ot preserve your rights.In your letter, SAM P give us the following infoLE L E INVOICE • Your name,address,telephone and account numbers. • The dollar amount of the suspected error. Date range of this invoice an error. • Describe the error and explain if you can,why you believe there is You are obligated to pay the parts of your bill that are not in question. You do not have to pay the disputed amount while it is being investigated.During the investigation,we c i1F aE v� as delinquent or take any action to collect the amount 1tiYour account a0100/°e-ooloaoo 1234567890 Your Account Number GENERAL questionIN f. INFORMATION TNR-00 R, 123456789 1•Payments received after the billing MO.m 29 1mg(INVOICE)date will appear on Important "�D NO9 21 Watch here for a Your next invoice.Past due invoices(not paid within 30 days of news and UE-oEc,B billing date)may be assessed a late fee as allowed by law not to 13,-tlmttk.4Mlpli u1611W ifAe ha-"aitd�' c semc41,R�72.9888 personalized account exceed S20 Per month.Additionally,third a offers h o naARyeUmTUigkeM9uRWnproauU message party collecfio./attorney 123 M t se —e eII �naY-be-essessed-ar-azoic-nor.ta-exceed-190•-of-the----�� �W.St ce 80000 .. unpaid balance or the maximum allowed by law. I:aua t at It tt„n eo t Lhl ba u 2.Each returned check is subject to a service charge subject to the maximum check return charge allowable in your State. - 3.Al] bottle and equipment deposits are shown as CURRENT " p8 Pay electronically ACTIVITy, Activity , 4. Equipment replacement costs will be charged for bottles lost, since your Mahe sure this stolen,damaged or not returned. AccouNrAcnvrry 5.In accordance with last invoice amount has been NWNA's Terms and Conditions o 1 naaa,e fi Jahn OaG 123 Main 6vee4 Gry.S ate 00000 Equipment Lease and/or Service Agreement T&�)Yoar oen, X61898 Pp�me lli.RkYoe paid in full t0 subject to account may be 6 a N wtal6pRngWamr a a avoid late fees 3 minimum monthly purchases and/ n, 31788s1a s fees.(A complete version of the or early cancellation n, 3nfies,aaw s keMoun a,n s°11 ao currentT&Cmaybeviewedonthe 09/11 3,768s,4444 IaMwnuns�IR r-` website listed below)Upon service discontinuation,rent for the 89n: 3,8 4 w„ "`$eK��a Monthly Oil Leased Equipment is charged through the end of the billing cycle Surcharge,Fuel in which service is discontinued. ° Surcharge or Delivery 6.You will be charged a monthly Oil Surcharge,Fuel Surcharge or Tee(see#6 under Delivery Fee as described in o will a t t Your T&C. Only one of these fees cueR N Arn m =RAr N°AMORN i PPY to Payment stub C""°°°^”""- o "+ "General is stated on account.i The fee that a AccouNr suMMARr pplies to your account 10C"` ,�o,a�,���x. Information's the tont ed _ the invoice.For ------------- furtherinformationplease -------------- visit the website listed below or contact aur customer service °e `' P M ACCOUNTNUMBER PAYBY IAY TN"AMOUNT center. 1234567890 Cal too 7•AS a FO INVOICE NUMBER BIWNG GATE E74ao6E1 food Product, bottled water is subject to the rules and 234567890 00/00/00 regulations promulgated by the Federal Food and Drug _f Administration(FDA). 0420096307 04282712619 Daa391u49 2914 1e 8.Your first invoice indicates the products delivered on your first Amount due delivery, rano 1°e along with any applicable bottle and account deposits, eCEMOUNNNWAERCOMPANY 23Mamst redemption fees,and any dispenser charges.All future invoices ^dNI^c will reflect ch P an,staze ooaao argesforwaterdeliveredanddis enserrental,bottle t lsL„In[6wt6 I1n,tu;.twtllaap. MR CUSTOMERSERWCEGLLLid°0.0L9000 Submit your I deposits and-credits_Plus-charges ❑P ,4 rn 9 onR Esme payment by this ordered b _fo�any_additional_pro�lucts __ ❑sicN°PwREREE4ur°An3f9nup eo.I.eonRM�slae _ _' date y you. Deliveries are made every three or four weeks,for _- a total of 16-17 deliveries per year.You will only receive invoices _ 12 times per year,so a - pproximately 5 of those invoices will reflect ~- -- —__ two deliveries. � ©2008 Ice Mountain Spring Water Company, on of a DivisiNestle Waters North America Inc. service.icemountainwater.com - - Form No.NW 709 08/12 r service.icemountainwater.com Wqkvlel lei 0 ON lei ffil® ° #215 6661 DIXIE HWY,SUITE 4 ° 06/01/14-06/30!14 04F0120095351 ' LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED WED- JUL 23 0120095351 111111 II III 11HIM III _ THU- AUG 21 MON- SEP 22 MON- . OCT 20 JUL - 7 2014 CARMEL CLAY PARKS AND REC DEPT. ; Customer Service: 1-800-472-9888 AUDREY KOSTRZEWA BY: bid you forget about us? Kindly pay upon receipt. 1411 E 116TH ST 1Remember,past due.accounts are subject to a late fee. CARMEL IN 46032-3455 Your prompt payment is appreciated. For your "IIIIII�II�I' III"I 1111111111 11 JillIII I llI'I'I�IIIIIIII convenience,pay online:service.icemountainwater.com. If payment has been made,we thank you. w kt,�rY^m,.; �.a s; the Great NEW taste of N STEAi NOW# Saye$3�aff ,12 pack af2az cansgrapromote fpr�ce of$3 99 p © 3 c ff a£12" ck`of Neste/2: ter ti ties fora r to ed rtr, d#$5 99! + T11 800 47298 5 ,�% .fir a z�F*'., 7l* i " 3"�di � �.,- °a�s ��� f�,, z � � E�l��'��� ,,."3�% »F` y5./ �✓�'��. � ,.�;�, ' .�w x n� l�a��.y `'` p"yirMF3 e v�... ACCOUNT ACTIVITY For questions or a report on water quality and information,call 1.800-472-9888 or visit service.icemountainwater.com. MOM— Delivery address: P CARMEL CLAY PARKS AND REC DEPT.,1427 E 116TH ST,CARMEL IN 46032 PREVIOUS BALANCE 66.91 6/25 0889050076 10 5 GAL ICE MOUNTAIN DIRK W/HANDLE 42.90 6 9 OZ PLASTIC CUP 50C/SLV 19.74 BOTTLE DEPOSIT: 10 CHARGED,e.10-CREDITED ., .00 6/30 0891152340 1 OIL/FUEL SURCHARGE f 3.16 F6707047 RENT " ` 11.98 E TOTAL 144.69 4 r.` ,t)AJQKJMQ1 WATER MD 1125-1-13—L{ 3505 DL ° ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT I Subject to terms on reverse side. 66 P .91 — 0.00 -F 77.78 144.69 BILLING RIGHTS SUMMARY IN CASE OF ERRORS OR QUESTIONS ABOUTYpI7R BILL,OR FOR YOUR VOICE-4 WAYS TO C REPORT ON WATER UALrrY 1. Please remember payment is due by the"Pay bU dateR ted OU BETTER nsure smoothest service. , l CALL I-800472.4888 OR Q `;�INFORMATION,PLEASE WRrrE US AT; 2. Remember,if you are rentingequipment, ICE MOUNTAIN SpgpgC WATER CO. your first invoice will include ar -rat d fee foour r the current month,Plment rental is us charged next month's nce.That means #2I6 3. Kindly fill in the amount enclosed include our ac 6661 DIXIE HWY,SUITE 4 rental LOUISVILLE,KY 40258 lfyou prefer,you can a y count number on your check, and do not send cash. 4. Never hesitate to call us With comments,questions,o conat cerns tnwater.coIn I trap Wink your bill is wrong,or if you need more information about a transaction on your bill,write us On a separate sheet of paper.We must hear from you in writing no later than thirty(30)days after we sent you the fust bill on which the error or problem appeared.You can telephone us,but doing so will not preserve your rights•In your letter, SAMPLE give us the following information; INVOICE • Your name,address,telephone and account numbers. • The dollar amount of the suspected error. Date range of this invoice • Describe the error and an error. explain if you can,why you believe there is You are obligated to pay the parts of your bill that are not in question. You do not have to pay the disputed amount while it is being investigated.Dunn 890 During the action to co,we cannot report your account 12345fi7890 as delinquent or take any action to collect the a ooTaDloo-oaootoo Your Account Number amount in question. GENERAL INFORMATION TNR-OC184 12345fira 1.Payments received after the billingMON OR Your next invoice.Past due' es(not p i date will appy on Important Watch here f invoices(not aid within 30 days of news and vAOHrn billing date)may be assessed a late fee as allowed 6 1 10E-DEC,e , or a exceed$20 per month_Additionally;ate fed by not t0 i1;AbfIG,IftIAl�.�lllWdaG.;Alitl,t(111JOp c°a,°mar semis:,-auo-vz-9eea Personalized account expenses may be party offers 123 W TMepQ,yn,° dnglaM°unminpadnN message 123 Main St and servkes. ( g Y assessed at a rate not to exceed 100%of the a qsa�NOW ❑E. ..dtmn 4A,L.t 4id,J u' unpaid balance or check maximum allowed by law. 2.Each returned check is subject to a service charge subject to the maximum check return ch °M d, an9a^w°u:nae we wxaa. 3. All battle and charge allowable is your State. tea. <h Pay electronically ACTIVITY equipment deposits are shown as CURRENT Activity ° ,r 4•Equipment replacement costs will be charged for bottles lost, since your a �ro °.m m>w '�a.n•ae.m N Make sure this stolen,damaged or not returned. ACCOUNT P ' 5 In accordance with N Last invoice WNA'sTermsand DaYyAddnss ,° DoeIDwi,Sv %oosstamo090o amount has been Equipment Lease and/or Service Agreement oust "),your Pa a e anis n ss paid in full t0 subject to minimtun month/ greement account may be oen, 4d169a Pa me o-ThanEmn avoid late fees Y Purchases and/or earl m 3vees,ua s s anwH aaisPd^9waa. d« fees.(AcompleteversionofthecurrentT&C may be viewed " 3nees,a+a s �a ^�ns�1D�°t website listed below U W11 3v88s-' s ,aMwntams�a,Ramm , o9n 3 18163 8 81, , wes�ndw9e , ° Monthly Oil Upon service discontinuation,rent for the ^•"' 1661°''' "" `` Leased Equipment is charged through the end of the billing cycle Surcharge,Fuel in which service is discontinued, mA _`_' ' 0 0 6.You will be charged a monthly Oi(Surcharge,Fuel Surcharge or _ ' Surcharge or Delivery Delivery Fee as described in your TSur Only one of these fees Fee(see#6 under ,.fl°na9M E MYM rt eN n M{NPRURAnmrc PAY Ntra°UM "General frill apply to each account The fee that a • Payment stub ACCOUNT SUMMARY — «o i9 stated on the front of the invoice applies to your account „ ,,,„,, „,a,„ w6pnurtmn� __. Information') xKan .For further visit We website lit information ••",",,,,..aYa.._ -_ --------- ' ACCOUNT NUMBER PAY BY PAY THIS AMOUNT listed below or. contact our c Please ----�„,;;,m„,a,A;,:,�,�,.,�a Centel, customer service oe oe w 1](t]( 1134567890 .ENCLOSn) 7.As a food product, bottled water is subject to the rules and W110E NUMBER BfWNO DATE regulations promulgated 6 12MS67890 emoo,oe y the Federal Food and Drug Administration (FDA). 0420096307 04262712614 000391049 2004 18 S.four fust invoice indicates the products delivered on your first Amount due delivery,along with an a hcable bottle and account deposits, 'CEMOUNTNNWA7FRCOMPMY 23WI redemption fees,and any dispenser charges All future invoices pMaNe a .�N„na�a< 123 Mem a Will reflect char arysare 00000 charges for I.aa.L.tm,.abawatu.•t t.ttbau' wBCUSTOMEesEk,cECAu,mo.n'9ese Payment it your ntby deposits and credits plus charges for-any additional-products 5GN pfOPf EA OP""OpR qutl°O�" MM ��n� P$Yment by this ordered by you. Deliveries are made every three or four weeks,for date R total of 16-17 deliveries12 per year.You will only receive invoices two deliveries. fines per year,so approximately 5 of those invoices will reflect y �^ ----- -__ ©2008 Ice Mountain Spring Water Company,a Division of Nestf6 Waters North Am service.icemountainwater.com _ erica Inc. Form No.NW 709 08/12 ------------.. __...... ..... ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of bill to be properly itemized must show; kind of service,where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. 051125 Ice Mountain Terms P.O. Box 856680 Louisville, KY 40285-6680 Invoice Invoice Description Date Number (or note attached invoice(s)or bill(s)) PO# Amount 7/2/14 04FO121202766 Drinking water&cooler- MCC $ 306.40 7/2/14 04FO120095351 Drinking water Maintenance Dept. $ 77.78 - Total $ 384.18 1 hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 ,20 Clerk-Treasurer Voucher No. Warrant No. 051125 Ice Mountain . Allowed 20 P.O. Box 856680 Louisville, KY 40285-6680 In Sum of$ $ 384.18 1 f ON ACCOUNT OF APPROPRIATION FOR { 101 General fund/109 Monon Center PO#or INVOICE NO. ACCT#!TITLE AMOUNT Board Members Dept# i 1091 04FO121202766 4350900 $ 306.40 1 hereby certify that the attached invoice(s), or 1125 04F012o095351 4350900 $ 77.78 1 bill(s)is(are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except 10-Jul 2014 Signature $ 384.18 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund EEM- service.icemountainwater.com "IS® #215 6661 DIXIE HWY,SUITE 4 06/01/14-06/30/14 04F0121776199 ' LOUISVILLE KY 40258 6d B egag lu 6 i ADDRESS SERVICE REQUESTED I lei IIIIIIIII1111111111111111111111111 TUE- JUL 0 0121776199 WED- AUG 066 FRI- SEP 05 MON- OCT 06 CITY OF CARMEL HUMAN RESOURCES Customer Service: 1-800-472-9888 JIM SPELLBRING Pay your bill online at:service.icemountainwater.com or 1 CIVIC SQ by phone at:1-800-472-9888.It's free! CARMEL IN 46032-2584 TtttheGreat NEUlftaste of NESTER NOWIave$3 off£a12 pack of 12 oz cans foC promoted price of$3 59 .' l' 1 Wi' f i �� kf,�'' YP4' EP/ AN 21g bff a 12 p ck of Nest 1121 ter bo s,for a p Qr»oted price f$5 991 Cat31 8Q0-47 $888 or�Isit eacem�u 1AWater c 1ta�adsl+o o �r order! ` - - - �z %w ACCOUNT ACTIVITY For questions or a report on water,quality and information,call 1-800-472-9888 or visit service.icemountainwater.com. Delivery address: CITY OF CARMEL,1 CIVIC SQ, HUMAN RESOURCE DEPT,CARMEL IN 46032 PREVIOUS BALANCE 7.98 6/08 898133 PAYMENT-THANK YOU -3.99 6/30 F6680860 RENT 3.99 TOTAL 7.98 ;submitted To r :.' JUL 14 2014 - Clerk `treasurer ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT I ADJUSTMENTtRRENT ACTIVI PAY THIS AMOUNT Subject to terms on reverse side. 7.98 — 3.99 -� 3.99 = 7.98 BILLING RIGHTS SUMMARY IN CASE OF ERRORS OR QUESTIONS ABOUT YOUR BILL,OR FOR YOUR VOICE-4 WAYS TO A REPORT ON WATER QUALITY AND 1, Please remember payment is due b the"pay US SERVE CALL 1-800.472-98gg OR WRITE US AT: �FORMAT[ON,PLEASE YOU BETTER ICE MO 2. Remember,ifyou are rentin a ui y pay bya,date noted to ensure the smoothest service. #216 MOUNTAIN SPRING WATER CO. g 4 pment,your equipment rental is charged one month in advance.That means Your first invoice will include a pro-rated fee for the current month,plus the next month's rental. 6661 DIXIE HWY.,SUITE 4 3• �IIdIY fill in the amount enclosed, include LOUISVILLE,KY 40258 If you prefer,you can a Your account number on your check, Ifyou think your bill is wrong,or ifyou need more information about Pay with c bill online ue s ions, r concUntainWater.Com and do not send cash 4. Never hesitate to call us with comments,questions,or concerns. a transaction on your bill,write us on a separate sheet of paper.We must hear from you in writing no later than thirty(30)days after we sent you the first bill on which the error orproblem appeared.You can telephone us,but doing s°will not preserve your n give us the following information: ��•IA Your tette • Your name,address,telephone and account numbers. SAMPLEINVOICE • The dollar amount of the suspected error. • Describe the error and explain ifyou can,why Date range of this invoice an error. y you believe there is You are obligated to pay the parts Of your bill that are not in question. You ig not have to pay the disputed amount while it is being investigated.During the investigation,we ca as delinquent or take any action to nn°t report your account " collect the amount in question. ' woojoo.ooloo/00 1234567890 GENE Your Account Number I,Payments received 123456789T— MW 23456789 i your next invoice.Past due invoices DICE)date will a MWOCT-OCT w your appear on Important M0N-0Cf 39 billing date)may be assessed a late fee paid within 30 days of news and °'B exceed 2 as allowed by 1 Watch here for a S 0per month.Addi[ionall, law not to IL[b�lilauksllltf»IIlL4fi6»d(N>WJldda co:romers ",aoa+n,rBBa Personalized offers 123wie p Lied account expenses may Y third pony ceed 1iaNatof be unpaid balance ba assessed at a rate n 123 Main El Tnant,vvlorusinglceM°unWnpr°evm message or the maximum allowedby law. ceed 100%of the a y,swtn 00000 .na use°.. g 2.Each returned check is subject to a service ch i @� 1 0t. 8 u.paGa.,LoltL6l•n maximum check return charge allowable in your 90 subject to the ,,• w 3. All bottle and equipment de ` �- - x .b m Yr«•> "" i ACTIVITY. posits are shown 4. E as CURRENT Activity n° Pay eleCtrouicalty. ui q pment replacement costs will be charged-for since your stolen,damaged or not returned, g °r bottles lost ACCOUNrac7lvmt m .°gym« -; Make sure this 5.In accordance with N last invoice amount WNA's Terms and Conditions("T&C" oerearyAea,c.,:jnnnOee,lza Mainstae�oN,sta+e 000ao � has been Equipment Lease and/or Service A )'YOw Amo a uMe u n paid in full to subject to minimum months Agreement account may be m 4+ 441998 Pam t nankr^" fees.(Acompleteversion ofthecases and/or urre current m 3ne9s,a44 s scasnnr+aNalsP�^9W y lent 1 avoid late fees y cancellation 3v99s,4YA s �eMwnwnsw oew t l website listed be]ow U may be a9n, 3n99s+°'°° s Upon service discontinuation,rent for the ^s++r 3t9n39a„ wds wge "0 Monthly Oil Leased a9na ,9MD497 Bern ^•_ .}'I',-6 3;- 1o„et + Equipment is charged through the end of the billing cycle in which service is discontinued, ;}'_;:;{_,;; k Surcharge,Fuel 6.You will be charged a monthly Oil Surcharge, Tam � Surcharge or Delivery Delivery Fee as described in your T&C �A�'Fuel Swcharge or ' Fee(see#6 under will apply to each account. The fee that applies O e Of these fees "General is stated on the frontPayment Stub M Gum sumMa r °°AO'e"" `-n"OrtfAD ""+""" """Y = °"""°"onN •. ofthe invoice,For ------------------ >uxt � 1an vrsn the website listed below further information °°"°•^°•°'°"'"°' - "A""'°'"""°"'°°°""°`' ! Information) or contact our c Please ------------------------- center. ----�---------------------- mi°"'a10°°'�"w ' ACCOUMNUMBER PAV BY PAYTHiE AMOUNT nSIDmeZ SeIV(ee int f 7.As a food 234E87b90 Nil UNI BB Product, bottled water is subject to the iNvo,cENUMera B,wNCOArE .rNnosco regulations promulgated b rules and 123456=7 oejaoj90 Administration(FDA). Y the Federal Food and Drug 8.Your first invoice indicates the products deliverer!on'your first OV20096307 04202712639 000391049 zoo4 3a delivery,along with any applicable bottle and account deposits, 123 D. Win € Amount due redemption fees,and an 10EMOUNIAINWAMCOMPANY .oam�d NmV xxm e+°nn.+nennes 123 Main Sl y dispenser chfuture uy.stare Begoo will reflect charges for water delivered and dspenl ser r ne tal,bottle Submit your invoices deposits and credits t.1a.t.�.m,4l."n a1 to a,"tt,el a"a Dacus oMEn sEwrcE wt,aoo4>z.9s99 ordered b Ply charges for any additional Products weeks, for HOPO"�""O A"'°°"p d0n k" y° NryOa 9 OOP s" Payment by this YYou, Deliveries are made every three or four weeks,for _ 1 date a total of I6-17 deliveries per _ _ _._.__ __�_�.__..,._ _.e 12 times per year,so a P year,You will only receive invoices two deliveries, approximately 5 ofthose invoices will reflect Qservice.icemountainwater.com ©2008 Ice Mountain Spring Water Company,a Division of Nestle Waters North America Inc. o•!'— -- Form No.NW 7o9 08112 VOUCHER NO. WARRANT NO. ALLOWED 20 Ice Mountain IN SUM OF$ PO Box 856680 Louisville, KY 40258 $3.99 ON ACCOUNT OF APPROPRIATION FOR Administration Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1205 104FO121776199 I 42-390.99 I $3.99 1 hereby certify that the attached invoice(s), or I bill(s) is (are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Monday, July 14, 2014 Director, Administration Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts City Form No.201(Rev.1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL i An invoice or bill to be properly itemized must show: kind of service,where performed,dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s)or bill(s)) 07/02/14 04FO121776199 $3.99 I hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 , 20 Clerk-Treasurer service.icemountainwater.com A #215 6661 DIXIE HWY,SUITE 4 06/01/14-06/30/14 14FO117821082 ' LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED ` IIIIIIIIIII111111111III 11111111111 FRIAUG JUL 15 0117821082 TUE- SEP 16 WED- OCT 15 Customer Service: 1-800-472-9888 CITY OF CARMEL STREET DEPATMENT Did you forget about us? Kindly pay upon receipt. 3400 W 131ST ST Remember,past due accounts are subject to a late fee. CARMEL IN 46074-8267 Your prompt payment is appreciated. For your III'�I�'I���I'I'll��l�'�I'III��I' 'll�ll�l�l�llllll�llll'll'I�II� convenience,pay online:service.icemountainwater.com. If payment has been made,we thank you. F dna .*`"_.•�r`„�2,A^ YL'.4i;.'3�G r �p+';ga ?,o-a ✓.r"�a"�L"' .r"*e" ��.,a" 77 i .rte ;.n`�'arr Try the�Great NE taste of NEST,EA "NOM&W, $3 off ar12fpack of 1 az cans for a promoted jyctce of$3999 -: fld3y .�;.Y^:.r x " .�„Y,�, J'” ✓ S'` �a - 5 z'rn,['n,°Y' !✓"`f*c e4? 2`: ,AND�$3 aff a 12 f#ack of Nestea 1 2 Uter bat#les,for a promoted=pH of$5 991 Call 1 800-472 9888 or vislty z ertce°icemoun atnwateC aC�nri tosaddfpYoeiroG[lel l "KcM✓ m' ` `A�,W# `� 20,17"' .0� a . ACCOUNT ACTIVITY For questions or a report on water quality and information,call 1-800-472-9888 or visit service.icemountainwater.com. ELI- Delivery address: CITY OF CARMEL STREET DEPARTMENT,3400 W 131TH ST,CARMEL IN 46074 PREVIOUS BALANCE 80.95 6/18 0010129400 14 5 GAL ICE MOUNTAIN DIRK W/HANDLE 48.86 14 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 84.00 4 9 OZ PLASTIC CUP 50C/SLV` ' "-_ 13.16 13 5 GALLON ICE MOUNTAIN DEPOSIT RETURN -78.00 6/30 0891130502 1 OIL/FUEL SURCHARGE._ t � ° _ 3.16 F6675482 RENT , • 2.99 TOTAL - 'k 155.12 ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 80.95 — 0.00 + 74.17 = 155.12 BILLING RIGHTS SUMMARY IN CASE OF ERRORS OR QUESTIONS"OUT INVOICE g YOUR VOICE-4 WAYS TO HELP US SERVE YOU BETTER A REPORT ON WATER QUALITY AND INFO r'1'OR FOR I. Please remember a CALL 1-800472-9888 OR RMATION,PLEASE payment is due by the"pay by"date noted to ensure the smoothest service, WRITE us AT: 2, Remember,if you are renting equipment,your equipment rental is charged one month in advance.That means ICE MOUNTAIN SPRING WATER CO. Your fust invoice Will include a pro-rated fee for the current month,plus the next month's rental, 6661 3. Kindly fill in the amount enclosed, include your account number on your chec 666]DIXIE IIWY SUITE 4 LOUISVILLE,KY 40258 If you prefer,you can pay your bill online at service.icemountaltlwater.com 4. Never hesitate to call us with co and do not send cash, Ifyou think your bill is wrong,or ifyou need more int comments,questions,or concerns, a transaction on your bill,write us on a se information about must hear from you in writing no later than hirty separate sheet of paper.We sent you the fust bill on which the ermr orproblem a pedays after we telephone us,but doing so will not preserve your rights_ d' °letter, SAMPLE give us the following information: LE 1 N VO'C E • Your name,address,telephone and account numbers, G • The dollar amount of the suspected error Date range of this invoice an error Describe the error and explain if you can,why you believe there is You are obligated to pay the parts ofyour bill that are not in question. You do not have to pay the disputed amount while it is being investigated.During the investi tion,ed as delinquent or take cannot report your account oorooroo-uorooroo rzl+ss7aso Your Account Number any action to collect the amount in question. !lam GENERAL INFORMATION 234 runt-Ocie 17345678 i.Payments received after the billinga OCT Your next invoice. n n (INVOICE)date will appear on Important WFD 0V 2' Watch here for a _ ,Past due invoices(not paid within 30 wr- 'a billing date)may be assessed a late fee as allowed by 1 not to n S atld tttG;itt n+anEt'«li?Lnl�uuen a4idh coo S_i-r soo-4724M personalized account exceed$20 per month.Additionally,third Patty collection/attomey offers ,• message expenses may be assessed at a rate not to ex o iurAa'w St ! cmAsmce rowo teed 100%of the is ma a M.v .ub ix t t y.si cta,n' _. unptaid.balance or the-maximum allowed by-law--- 2,Each returned check is sub-ect to a service maximum check return charge allowablyourState Eject to the - - - t fi- x 3- All bottle and aa�.a Pa electronically equipment deposits are shown as CURRENT Y ctronically ACTIVITY Activity 4, Equipment replacement costs will be charged for bottles lost since yourr Make sure this stolen damaged or not returned Accouur Amvnv ►est invoice € amount has been 5.In accordance with NWNAs Terms and Conditions("T&C 12;h1an GryS�e 000w paid in hill to Equipment Lease and/or Service A ")your 0 0 avoid late fees subject to minimum monthly Agreement account may be 0Bf31 46t nue Purchases and/or earl "X14"4 s sr m xrndav�sva= j fees,(A complete version ofthe currontT&C m y cancellation l may be viewed on the ovn" s � wOs�s Monthly Oil website listed below U 7 Upon service discontinuation,rent for the °'^ X9047 d Leased Equipment is charged through the end of the billing cycle 4 Surcharge,Fuel in which service is discontinued. Surcharge or Delivery 6.You will be charged a monthly Oil Surcharge, Delivery Fee as described in your T&C. Only one of these fees - Fee(see#6 under "General Will apply to each account The fee that applies to your account Payment stub AccoUrr SUMMARY is stated on the front f --------------------° Information_ o the invoice' For finther i .•,•.- "e.E" .a.N.- ----- �w-- --- . 4 Inform ' ti visit the website listed below or contact our o.�,w,mm..� -u wr^�° Aaomuuuaem PAY sr eArrxam<OUNT center. customer service 1714567avo aoroo 7.As a foodwvaaruuMea auwkcaAlf .uaaasm -` product bottled water is subject to the rules and 1Z34561890 regulations promulgated by the Federal Food and Dan Administration(FDA). 1 Drug 0420n96307 04262732619 000391049 2004 E8 8,Your first invoice indicates the products delivered on your fust ( Amount due delivery,along with an 'o�ouNTaNWX1ZCOMFANY t I�tree Y applicable bottle and account deposits, °N� � 1zsMsr redemption fees,and °rys'd1e°p0°0 t any dispenser charges.All future invoices � Submit your will reflect charges for water delivered and di a-0-nen„ttn6hht.6�it roacusron+r8sr8v�auwl4n-vasa spencer rental,bottle ).'ud"m- payment by this deposits and credits plus charges for any additional products ❑a nun oarnuioAm�wawsNa ase ❑g ypmg O R e y a ordered by you.Deliveries are made eve _ _.- —1 date a total of 16-17 deliveries per every three or four weeks,for _ _ t u-.-- _-_ ____ ----- 12 limes Per P Year,You will only receive invoices P Year,so approximately 5 of those invoices will reflect two deliveries, ©2008 Ice Mountain Spring Water Company,a Division of Nestle Waters North America Inc, Q service.icemountainwater.com off" Form No.NW 709 08112 VOUCHER NO. WARRANT NO. ALLOWED 20 Ice Mountain IN SUM OF$ P. O. Box 856680 Louisville, KY 40285-6680 $74.17 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. I ACCT#IrITLE I AMOUNT Board Members 2201 114FO117821082 I 42-389.001 $74.17 1 hereby certify that the attached invoice(s), or bill(s) is (are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Street CongrrJuly 10, 2014 Street Commissioner Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts City Form No.201 (Rev.1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 07/02/14 14FO117821082 $74.17 I hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 , 20 Clerk-Treasurer service.icemountainwater.com ®� #215 6661 DIXIE HWY,SUITE 4 06/01/14-06/30/14 04FO121975593 LOUISVILLE KY 40258 ADDRESS SERVICE REQUESTED THU- JUL 10 II'I II I'I'll II III 'I I I I I I I I I I'II 'll I AUG 08 0121975593 FR TUE- SEP 09 WED_ OCT 08 _ CARMEL REDEVELOPMENT COMMISION DON CLEVELAND Customer.Servicer 1-800=472-9888 . . 30 W MAIN STREET Did you forget about us? Kindly pay upon receipt.. SUITE 220 Remember,past due accounts are subject to a late fee. CARMEL IN 46032-1938 Your prompt payment is appreciated. For your I�II�1�'IIII��1'll�'1�1��1��1111��1�11�111�'lllllll�lllll'I'�I'I� convenience,pay online:service.icemountainwater.com. If payment has been made,we thank you. �IMPORTANT Please be ativtsed that the tnuotce for your next delivery well reflect a price increase on:�select`; �o�uctsl?lease�cail-us if yoi�khave any fgtiesttons `�� �n '� � "' J. �"; »✓ ACCOUNT ACTIVITY For questions or a report on water quality and information,call 1-800.472-9888 or visit service.icemountainwater.com. Im 04 Delivery address: CARMEL REDEVELOPMENT COMMISSION,30 W MAIN ST STE 220,CARMEL IN 46032 PREVIOUS BALANCE 29.31 6/02 0886020312 4 5 GAL ICE MOUNTAIN DIRK W/HANDLE 30.32 4 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 24.00 6 5 GALLON ICE MOUNTAIN DEPOSIT-RETURN- -36.00 6/30 0891169930 1 OIUFUEL SURCHARGE 3.16 F6754110 RENT 10.99 TOTAL } 61.78 ACCOUNT-SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Subject to terms on reverse side. 29.31 — 0.00 + 32.47 = 61.78 BILLING RIGHTS SUMMARY IN CASE OF ERRORS OR QUESTIONS ABOUTYOUR BILL,OR FOR YOUR INVOICE-4 WAYS TO HELP US SERVE YOU BETTER A REPORT ON WATER QUALITY AND INFORMATION,PLEASE I• Please remember payment is due by the"Pay nsu CALL 1-800-472-9888 OR WRITE US AT: 2. Remember,if you are renting equipment,your equipmenttrentaled to is charged One month n are the smoothest dvance.That means #216ICE MOUNTAIN SPRING WATER CO. Your first invoice will include a pro-rated fee for the current month,plus the next month's rental. 6661 3. Kindly fill in the amount enclosed, include your account number on your check, and do not send cash. 6661 DIXIE I1WY,SUITE 4 LOUISVILLE,KY 40258 If you prefer,you can pay your bill online at service.ieemountainwater.com 4. Never hesitate to call us with comments,questions, 'i concerns, ash. a transaction thinly your bill is wrong,or ifyou need more information about a transaction oa your bill,write us on a separate sheet of paper.We must hear from you in writing no later than thirty(30)days after we sent you the fust bill on which the error or problem appeared.You can //��M h telephone us,but doing so will not preserve your tights.In your letter, S/y give us the following information; L E INVOICE ' Your name,address,telephone and account numbers, • The dollar amount of the suspected error. Date range of this invoice Describe the error and explain if yo can, an error. why you believe there is You are obligated to pay the parts of your bill that are not in question. You do not have to pay the disputed amount while it is being investigated.During the investigation,we As delinquent or take ang thymol report your account 00100/00-00fooloo 7434567890 y action to collect the amount in question. � Your Account Number GENERAL INFORMATION ,RR-Da oo 7234567a9 1•Payments received after the billingNON-«7P Your next invoice.Past due invoices N(noOtlpatdd7vireth will 130 days of Important appear on ��_' Watch here for a billing date)-may-be-assessed-a-late-fee as.allowed_by-law of to, news and TUE e exceed$20permonth.Additionally,third 16sle;Iti 0.9 personalized personalizedaecount expenses may be assessed at a rate not P�Coll 100%to the offers, - - 123M.I 1, m9,«M°�amP o"n message =123 Mai Sl erd ye7W«s. - Qry.Stat unpaid balance or the maximum allowed by law. ) m,t t nt"h.sii;,n't u u.tpt.t,a"a — 2.Each returned check is subject to a service charge subject to the maximum check re tum charge allowable in your State, °Awm xxux0YYa4 tingx�a4 NbkmCCteYI. a3 3. All bottle and equipment deposits are shown dx6Pmwt rod x murn h w Pay electronically ACTfVITY wn as CURRENT Activity 4• Equipment replacement costs willbe charged For bottles lost AccouNracm since your rY Make sure this stolen,damaged or not returned. last invoice amount has been 5,In accordance with NWNAh Terms and Conditions("T&C"), O:r ryAdd—Jn60 Dce 123 MM ret C1'Y,5'--OMM Equipment Lease and/or Service Agreement account may be paid in full to AeA°us Balance . °° avoid late fees subject to minimum Den, 46+898 u« monthly purchases and/or earl n, 117M51— subject 1766914441 s scanonN,u a 5pdn9 W4'x' fees.(Acomplete version oftt7ecurrent T&Cmay bevi viewed 3,7esln s 1«MW°'amswmew'" 09!11 31788514x14 s i«N°"nw^scat"°""" > Monthly Oil website listed below U e9n 31876986+1 wnn roa {F scontinuation rent for the Leased Equipment ischargedthrough the end of the'b it ng cycle o9n7 ,E610 97 Surcharge,Fuel in which service is discontinued. o o Surcharge or Delivery 1D7RL 6.You will be charged a monthly pil Surcharge,Fuel Surcharge or Fee(see#6 under Delivery Fee as described in your T&C. Only one of these fees l4�N NN vaxN Orn 0 _ PA,vOANaNN "General will apply to each account. The fee that Payment stub ACCOUNT SUMMARY « is stated on the front of further applies to your account °° the invoice.For furd7er information please °°"""°`°'°°°'"°'°'— •�"— Information's -------------------- v7srt the website listed -----v���°�^•-^""'^^^""'°"m""" ACCOUNT NUMBER PAY BY PAY ISAMOUNT below or contact our customer service 6600 o °0 center. 7=34567890 NG DATE ENCLOSED 7,As a food product, battled water is subject to the rules and NV12345OICE 9" BIW/W/W 13N967890 00100100 regulations promulgated by the Federal Food and Drug Administration(FDA). 0420n%307 04262712619 100391049 2004 16 8,Your fust invoice indicates the products delivered on your Frst i Amount due delivery,along with anCE° OUMANWATFACOMPIWY 1�^DOS Y applicable bottle and account deposits, a"°a"""'"A" arysulreS`00000 redemption fees,and any dispenser charges.All future invoices will reflect charges for water delivered and dispenser rental,bottle deposits and credits plus ch u,aha,��tn.,..et..,,t�.,a.:tR„uat•titt.aMa wRCOSTOMERSE,onrEu„_,�oo.e:-9sae Submit your ny additional ❑kN0PE06EN�P”w vP„�R,� �.ducts ❑ payment by this ordered by you.Deliveries are madeevery three or four weeks for date ES total of 16-17 deliveries per year.You will only receive invoices — w times peryear,so approximately 5 Of those invoices M)l reflect two deliveries. _ ©2008 Ice Mountain Spring Water Company,a Division of Nestli§Waters North America Inc. service.icemountainwater.com /Form No.NW 709 08/12 - Prescribed by State Board of Accounts City Form No.201(Rev.1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee BrLet AmA� Pet Purchase Order No. Terms Louis Vi lle, k V 4OZ85 —1,6690 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 74-)jolfoa l Oss 3 -7-2- Total Z-Total 32. I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accor dance with IC 5-11-10-1.6. , 20 Clerk-Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 (e /lOU�7GiJ� bre-1ALLOWED SUM OF $ - �-OUI dZSS X00 $ 52,#7 ON ACCOUNT OF APPROPRIATION FOR qoi / 43.509a Board Members PO#or DEPT.# INVOICE NO. ACCT#/TITLE AMOUNT I hereby certify that the attached invoice(s), �0 by MZ j97sm? 43-50W 32,E or bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except i r I Si atur Title Cost distribution ledger classification if claim paid motor vehicle highway fund